Search Results (3)

Epidemiological approaches for examining human health responses to environmental exposures in observational studies frequently address confounding by employing advanced matching techniques and statistical methods grounded in conditional likelihood. This study incorporates a recently developed Bayesian hierarchical spatiotemporal model within a conditional logistic regression framework to capture the heterogeneous effects of environmental exposures in a case-crossover (CCO) design. Spatial and temporal dependencies are modeled through random effects incorporating multivariate conditional autoregressive priors. Flexible frailty structures are introduced to explore strategies for managing temporal variables. Parameter estimation and inference are conducted using a Monte Carlo Markov chain method within a Bayesian framework. Model fit and optimal model selection are evaluated using the deviance information criterion. Simulations assess and compare model performance across various scenarios. Finally, the approach is illustrated with workers’ compensation claims data from New York and Florida to examine spatiotemporal heterogeneity in hospitalization rates related to heat prostration. Full article

Production of bowel sounds, established in the 1900s, has limited application in existing patient-care regimes and diagnostic modalities. We review the physiology of bowel sound production, the developments in recording technologies and the clinical application in various scenarios, to understand the potential of a bowel sound recording and analysis device—the phonoenterogram in future gastroenterological practice. Bowel sound production depends on but is not entirely limited to the type of food consumed, amount of air ingested and the type of intestinal contractions. Recording technologies for extraction and analysis of these include the wavelet-based filtering, autoregressive moving average model, multivariate empirical mode decompression, radial basis function network, two-dimensional positional mapping, neural network model and acoustic biosensor technique. Prior studies evaluate the application of bowel sounds in conditions such as intestinal obstruction, acute appendicitis, large bowel disorders such as inflammatory bowel disease and bowel polyps, ascites, post-operative ileus, sepsis, irritable bowel syndrome, diabetes mellitus, neurodegenerative disorders such as Parkinson’s disease and neonatal conditions such as hypertrophic pyloric stenosis. Recording and analysis of bowel sounds using artificial intelligence is crucial for creating an accessible, inexpensive and safe device with a broad range of clinical applications. Microwave-based digital phonoenterography has huge potential for impacting GI practice and patient care. Full article

Formal Bayesian comparison of two competing models, based on the posterior odds ratio, amounts to estimation of the Bayes factor, which is equal to the ratio of respective two marginal data density values. In models with a large number of parameters and/or latent variables, they are expressed by high-dimensional integrals, which are often computationally infeasible. Therefore, other methods of evaluation of the Bayes factor are needed. In this paper, a new method of estimation of the Bayes factor is proposed. Simulation examples confirm good performance of the proposed estimators. Finally, these new estimators are used to formally compare different hybrid Multivariate Stochastic Volatility–Multivariate Generalized Autoregressive Conditional Heteroskedasticity (MSV-MGARCH) models which have a large number of latent variables. The empirical results show, among other things, that the validity of reduction of the hybrid MSV-MGARCH model to the MGARCH specification depends on the analyzed data set as well as on prior assumptions about model parameters. Full article